Document Detail

The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: a systematic review.
MedLine Citation:
PMID:  23302709     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Adults with bilateral vestibular hypofunction (BVH) experience significant disability. A systematic review assessed evidence for vestibular rehabilitation (VR). NUMBER OF STUDIES: 14 studies.
MATERIALS/METHODS: Search identification of studies based on inclusion criteria: (a) population: adults with BVH of peripheral origin; (b) interventions: vestibular exercises, balance training, education, or sensory prosthetics; (c) comparison: single interventions or compared to another psychophysical intervention, placebo, or healthy population; (d) outcomes: based on International Classification of Functioning, Disability and Health (ICF) Body Functions and Structure, Activity, and Participation; (e) study designs: prospective and interventional, Levels of Evidence I to III per Centre of Evidence-based Medicine grading. Coding and appraisal based on ICF framework and strength of evidence synthesis.
RESULTS: Five Level II studies and nine Level III studies: All had outcomes on gaze and postural stability, five with outcomes on gait speed and perceptions of oscillopsia and disequilibrium.
CONCLUSIONS: (a) Moderate evidence strength on improved gaze and postural stability (ICF-Body Functions) following exercise-based VR; (b) Inadequate number of studies supporting benefit of VR on ICF-Participation outcomes; (c) Sensory prosthetics in early phase of development.
CLINICAL RELEVANCE: Moderate evidence strength in support of VR from an impairment level; clinical practice and research needed to explore interventions extending to ICF-Activity and Participation.
Franchino Porciuncula; Connie C Johnson; Leslie B Glickman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of vestibular research : equilibrium & orientation     Volume:  22     ISSN:  1878-6464     ISO Abbreviation:  J Vestib Res     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-10     Completed Date:  2013-06-17     Revised Date:  2013-08-26    
Medline Journal Info:
Nlm Unique ID:  9104163     Medline TA:  J Vestib Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  283-98     Citation Subset:  IM; S    
Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Evidence-Based Medicine
Exercise Therapy
Postural Balance
Sensation Disorders / rehabilitation
Vestibular Diseases / rehabilitation*
Vestibule, Labyrinth / physiology*

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